长沙市中小学生不明原因晕厥发病率及其影响因素分析  

Epidemiological survey of unexplained syncope morbidity in middle and elementary school students in Changsha city

作　　者：胡尔林[1] 王成[2] 贺宇轩 高洁群 

机构地区：[1]长沙市妇幼保健院儿科,410007 [2]中南大学湘雅二医院儿童医学中心儿童心血管专科,中南大学儿科学研究所 [3]麻省大学洛威尔分校

出　　处：《中华实用儿科临床杂志》2014年第13期979-982,共4页Chinese Journal of Applied Clinical Pediatrics

基　　金：“十二五”国家科技支撑计划（2012BAI03B03）;湖南省自然科学基金（13JJ5014）;湖南省卫生厅课题（B2013-013）

摘　　要：目的 探讨长沙市中小学生不明原因晕厥（UPS）的发病率.方法 以简单随机法随机抽取长沙市6所全日制中小学校5 ～18岁中小学生4 215例,将研究对象分成重点学校（l 062例）、普通学校（1 310例）及进城务工人员（农民工）子弟学校（1 349例）.发放UPS问卷调查表4 215份,回收有效问卷3 721份（88.28％）.结果 1.发病率：3 721例中小学生中发生过1次以上UPS者738例（19.83％）,发病率中学生高于小学生（28.87％比7.96％,χ^2=252.11,P＜0.01）.重点学校晕厥发病率高于普通学校与进城务工人员（农民工）子弟学校（25.99％比16.34％比18.38％,χ^2=40.931,P＜0.01）.2.发病年龄：6～18岁[（14.23±2.70）岁].3.性别差异：中学生组发病女生高于男生（31.34％比26.49％,χ^2 =6.06,P＜0.05）,但小学生组（男9.04％比女6.68％,χ^2=2.85,P＞0.05）及中小学生总体（男18.67％比女21.12％,χ^2 =3.51,P＞0.05）男女比较差异无统计学意义.结论 长沙市中小学生UPS发病率为19.83％,不同学校、不同年龄段及男女之间发病存在差异.Objective To explore unexplained syncope （UPS） morbidity of elementary and middle school students in Changsha city.Methods Four thousand two hundred and fifteen students aged 5 to 18 years from six fulltime elementary or middle schools were randomly selected and the survey was conducted by giving them 4 215 copies of questionnaires and they were categorized into 3 groups：key school group（n =1 062）,normal school group（n =1 310） and peasant laborer dependent＇s school group （n =1 349）.Three thousand seven hundred and twenty-one copies of returning questionnaires （88.28%） were collected.Results 1.Morbidity：among 3 721 students there were 738 students（19.83%） who had once or more symptom of UPS.And the morbidity of middle school students was higher than elementary school students （28.87% vs 7.96%,χ^2 =252.11,P 〈 0.01）.The morbidity of key school students was higher than normal school and peasant laborer dependent＇s school students （25.99% vs 16.34% vs 18.38%,χ^2 =40.93,P 〈 0.01）.2.Onset age：the onset age of UPS was 6-18 （14.23 ± 2.70） years old.3.Gender difference：for the middle school group,the morbidity of female students was higher than male students（31.34% vs 26.49%,χ^2 =6.06,P 〈 0.05）.But for the elementary school group （male 9.04% vs female 6.68 %,χ^2 =2.85,P 〉 0.05） and the total secondary school students （male 18.67% vs female 21.12%,χ^2 =3.51,P 〉 0.05）,there was no significant difference between genders.Conclusions The UPS morbidity of students in Changsha is 19.83%.There are differences in age,school and gender.

关 键 词：不明原因晕厥 发病率 中学生 小学生 

分 类 号：R195[医药卫生—卫生统计学]